Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,784.12 / $1,784.12 / $3,748.87	Facility		$1,784.12	$1,784.12	$3,748.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,646.87 / $1,784.12 / $1,855.48	Professional		$1,646.87	$1,784.12	$1,855.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,961.61 / $3,355.24 / $3,748.87	Facility		$2,961.61	$3,355.24	$3,748.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,878.20 / $1,929.14 / $2,662.21	Professional		$1,878.20	$1,929.14	$2,662.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,811.65 / $4,123.76 / $5,248.42	Facility		$2,811.65	$4,123.76	$5,248.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,186.54 / $4,123.76 / $5,060.97	Professional		$3,186.54	$4,123.76	$5,060.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,425.11 / $2,425.11 / $3,748.87	Facility		$2,425.11	$2,425.11	$3,748.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $2,425.11 / $3,544.39	Professional		$1,770.33	$2,425.11	$3,544.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,050.24 / $1,870.28 / $2,498.50	Professional		$1,050.24	$1,870.28	$2,498.50